NPI | 1407898034 |
---|---|
Doing Business As | SOCORRO COMMUNITY HEALTH CNTR |
Entity Type | Organization |
Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
333600000X Pharmacy (Licence: NM CL00010337) | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2021-01-09 |